Muchaneta Maduke, OTR, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

4565 Issued in CA

Practice address

5360 Jackson Dr Ste 110
La Mesa, CA 91942-3012

Phone

(619) 667-7000

Fax

(619) 667-4315

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Handland Occupational Therapy PC

  • Hand Occupational Therapist
  • San Diego, CA
  • NPI 1750847950
  Medicare reassignment NPD
• Maythan Therapy Solutions

  • Occupational Therapist
  • La Mesa, CA
  • NPI 1518603406
  NPD Authorized official
• Soleimani Chiropractic P C

  • Chiropractor
  • San Diego, CA
  • NPI 1396291738
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1619099090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR STE 110",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423012",
            "telephone_number": "619-667-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR STE 110",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423012",
            "telephone_number": "619-667-7000",
            "fax_number": "619-667-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUKE",
        "first_name": "MUCHANETA",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1023103330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalicia Faye Mack-Nowell, LCSW
• Max Akihiro Macmillan, MD
• Peggy Macy, LCSW
• Jack Stuart Madowitz, M.D.
• Cathy Madrigal, RBT
• Cristal Magadan Ramirez
• Jessica Cristina Magallan, SLP
• Michael F. Magpile, M.D.
• Shawn Singh Mahal, PHARMD
• Thach D. Mai, D.O.

• Hand Occupational Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.